Maximizing Angioplasty Results in Peripheral Interventions
The field of Interventional Radiology is said to have begun in 1964, when Dotter successfully restored circulation to an 82-year-old woman's leg with critical limb ischemia and gangrene by percutaneously dilating a localized stenosis of the superficial femoral artery using a Teflon catheter. The dilation catheter was revolutionary in the inception of angioplasty, and progress evolved with the development of angioplasty balloons. As angioplasty became more widely utilized, the focus turned to improving its results. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - June 5, 2022 Category: Radiology Authors: Austin J Pourmoussa, Eric Smuclovisky, Constantino Pe ña, Barry Katzen Source Type: research

Endovascular Treatment of Infra-Inguinal Peripheral Arterial Disease (PAD): Update on Stent Technology
Peripheral Artery disease (PAD) is a progressive vascular disease affecting millions of individuals and is a considerable cause of morbidity and mortality worldwide. While balloon angioplasty remains the cornerstone option for endovascular management of arterial stenosis, advances in percutaneous endovascular stent technology have broadened the toolbox of therapeutic options for PAD and have significantly improved function and quality of life. Indeed, covered stents, bio-absorbable stents and drug eluting stents are several of the innovations in stent technology made since the advent of nitinol bare metal stents in the 198...
Source: Techniques in Vascular and Interventional Radiology - June 5, 2022 Category: Radiology Authors: Elena Violari, Andrew Payomo, Brian J. Schiro, Alex Powell, Ripal T. Gandhi, Constantino S. Pena Source Type: research

Management of Calcification: Rational and Technical Considerations for Intravascular Lithotripsy
Arterial calcification (AC) is a common complication among patients with peripheral arterial disease (PAD). AC presents various challenges to PAD treatment including an increased likelihood of vessel rupture and dissection, and by acting as a physical barrier to drug delivery by angioplasty balloons. Intravascular lithotripsy (IVL) is a novel intervention that specifically targets AC by emitting sonic pressure waves that introduce microfractures in target calcified lesions to increase arterial compliance. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - June 5, 2022 Category: Radiology Authors: Arian Nasiri, Hyunjean Kim, Varshana Gurusamy, James F. Benenati Source Type: research

Anti-Restenotic Technologies in the SFA: Balloons and Stents
Peripheral arterial disease (PAD) is a common condition, which significantly impacts the quality and length of life. In recent years, drug-eluting devices have demonstrated improved clinical effectiveness for treating peripheral arterial disease in the femoropopliteal arteries compared to traditional stents and angioplasty balloons. However, recent controversial studies have called the safety of this technology into question, leading to confusion as to if, when, and how these devices should be used. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - June 5, 2022 Category: Radiology Authors: Brent R. Keate, Kyle J. Cooper Source Type: research

Technical Approach to Percutaneous Femoropopliteal Bypass and Deep Vein Arterialization
In the management of patients with critical limb ischemia endovascular revascularization plays a crucial role improving amputation-free survival, ischemic rest pain, and wound healing. Endovascular standard of care of peripheral arterial occlusive disease involves angioplasty and/or stent placement. The following discussion is intended to familiarize interventional physicians with the rationale, physiological concepts, and technical approach to developing endovascular procedures —percutaneous femoropopliteal bypass and percutaneous deep vein arterialization. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - June 5, 2022 Category: Radiology Authors: Oleksandra Kutsenko, Arian Nasiri, Mark J. Maguire, Brian Schiro, Ripal Gandhi Source Type: research

Alternative Access for Peripheral Arterial Disease: A Complete Review with Updates in Clinical and Technical Approaches
This article provides a detailed review of indications, technical how-tos, and outcomes of these alternative accesses. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - June 5, 2022 Category: Radiology Authors: Yilun Koethe, Alex Powell Source Type: research

Editorial Board
(Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - May 10, 2022 Category: Radiology Source Type: research

Radiofrequency Ablation of Solid, Non-Functional Thyroid Nodules
Thermal ablation in the neck has been applied to several clinical conditions, but by far, the most common application is for the treatment of the benign, solid, non-functional thyroid nodule. Though relatively new to the United States, thermal ablation of these nodules has been performed internationally for nearly two decades, especially in South Korea and Italy. A number of ablative techniques - radiofrequency, laser, microwave, high-intensity focused ultrasound, and ethanol - have been studied and reported. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - March 15, 2022 Category: Radiology Authors: Michael Douek Source Type: research

Radiofrequency ablation of solid, non-functional thyroid nodules.
Thermal ablation in the neck has been applied to several clinical conditions, but by far, the most common application is for the treatment of the benign, solid, non-functional thyroid nodule. Though relatively new to the United States, thermal ablation of these nodules has been performed internationally for nearly two decades, especially in South Korea and Italy. A number of ablative techniques - radiofrequency, laser, microwave, high-intensity focused ultrasound, and ethanol - have been studied and reported. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - March 15, 2022 Category: Radiology Authors: Michael Douek Source Type: research

Radiofrequency Ablation of Solid Benign Thyroid Nodules
Symptomatic solid benign thyroid nodules may present either as nonfunctioning nodules causing compressive symptoms or as hyperfunctioning nodules causing symptoms of hyperthyroidism. While surgical resection or radioiodine ablation of these nodules can be performed, percutaneous radiofrequency ablation (RFA) of benign solid thyroid nodules has been shown to be a safe and effective alternative in select patients. Pre-procedural evaluation should include a history focusing on signs and symptoms of thyroid dysfunction, a physical exam, thyroid ultrasound, thyroid function tests, and discussion of key intra-procedural details ...
Source: Techniques in Vascular and Interventional Radiology - March 12, 2022 Category: Radiology Authors: Yoon-Jin Kim, Aparna Baheti, Timothy C. Huber Source Type: research

Role of Thyroid RFA in the Treatment of Autonomously Functioning Thyroid Nodules
Autonomously functioning thyroid nodules (AFTN) are common cause of hyperthyroid symptoms. While hemithyroidectomy or radioactive iodine ablation have historically been used to treat AFTNs, percutaneous thyroid radiofrequency ablation (RFA) is emerging as a promising option for outpatient therapy. The technique is compared to medical therapy, radioactive iodine therapy, and surgery, with an emphasis on technical differences in the ablation procedure for AFTN versus other benign thyroid nodules. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - March 11, 2022 Category: Radiology Authors: Alan A. Sag, Hadiza S. Kazaure, Carly Kelley Source Type: research

Advanced Techniques for Thyroid Nodule Radiofrequency Ablation
In addition to the basic techniques used in radiofrequency ablation of thyroid nodules, a variety of more advanced techniques have been developed. To address hypervascular nodules, vascular ablative techniques have been described. Protective hydrodissection can be used around the carotid artery and the trachea to improve safety. Rescue hydrodissection can be used to reverse nerve injury. Additionally, several new ablation devices show promise at increasing efficacy and safety. These techniques and devices will be reviewed to provide an understanding of these advanced techniques and novel devices. (Source: Techniques in Vas...
Source: Techniques in Vascular and Interventional Radiology - March 10, 2022 Category: Radiology Authors: So Lyung Jung Source Type: research

Introduction
Image guided interventions of the thyroid gland have been enjoying a Renaissance in the United States over past 5 years. Thermal ablation, which has long been a mainstay of interventional oncology, has been adapted for use in the treatment of both benign and malignant thyroid tumors. Much of the foundational work in this area was pioneered in Italy and Korea almost a decade ago.1,2 Since that time, the techniques have spread through Europe and Asia, expanding in North and South America more recently. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - March 9, 2022 Category: Radiology Authors: Timothy C. Huber, Auh Whan Park Source Type: research

Diagnosis and Management of Nodular Thyroid Disease
Thyroid nodules are common and often asymptomatic. However, patients may seek treatment for nonfunctional benign nodules that cause compressive symptoms or cosmetic problems. Additionally, many patients with autonomously functioning nodules also seek treatment. As minimally invasive thermal ablation techniques become more wide spread, providers offering these treatments should be familiar with the pathophysiology of thyroid nodules, and with how to work up a patient with nodular thyroid disease. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - March 9, 2022 Category: Radiology Authors: Olga Senashova, Mary Samuels Source Type: research

Review of the Korean Society of Interventional Radiology and European Thyroid Association guidelines regarding the role of radiofrequency ablation for benign and malignant thyroid tumors.
While radiofrequency ablation (RFA) for the treatment of symptomatic thyroid nodules has been gaining more wide spread adoption in the United States, there is limited societal guidance for its role and safe adoption. As many of the first adopters of thyroid nodule RFA developed their practices, they looked to the Korean Society of Interventional Radiology (KSIR) and European Thyroid Association (ETA) guidelines as a framework. Currently, efforts are underway from the American Thyroid Association to create updated guidelines for US providers. (Source: Techniques in Vascular and Interventional Radiology)
Source: Techniques in Vascular and Interventional Radiology - March 9, 2022 Category: Radiology Authors: Timothy Huber Source Type: research